San Beda College

COLLEGE OF NURSING
P.O. BOX 4457 1005 MANILA, PHILIPPINES TELEFAX: 735-6011 to 15 Loc. 4131

EVALUATION TOOL FOR CLINICAL INSTRUCTORS

Please be assured that your answers will be kept in strict confidence and in no way be used to
your disadvantage. Your cooperation will be highly appreciated. Please answer all the questions

I. Personal Data
Age:________________ Sex:______________

II. Direction: Below are sets of statements which attempt to describe clinical
instructor’s performance in terms of knowledge, skills and attitude in the
clinical area. Kindly put a check ( ) on the column after each items. Use the
following responses for you answers:

5- Excellent
4- Very Good
3- Good
2- Satisfactory
1-Poor

A. KNOWLEDGE 5 4 3 2 1
1. Cites current up to date information on new nursing applications for
various nursing situation.
2. Answers student’s queries pertaining to the nursing situation in an
expert and knowledgeable manner.
3. Stirs critical thinking by asking questions relevant to the student’s
clinical exposure.
4. Shows familiarization to ward’s regular activities, procedures, and
policies.
5. Evaluates student’s knowledge through various student activities
(bedside conference, case presentation, drug studies etc.)
TOTAL

B. METHODS OF TEACHING/MASTERY OF NURSING SKILLS 5 4 3 2 1

1. Conducts specific area orientation to the students and discusses with
them the specific objectives and scope of their learning activities.
2. Observes acceptable house rules or guidelines for the student’s
behavior applicable to the RLE setting (uniforms, haircut, approach etc.)
3. Explains the grading system including the student’s requirements in a
clear and concise manner.
4. Demonstrates organization and effectiveness in managing student’s
activities inside the ward.
5. Gives immediate learning feedback (NCP, drug analysis etc.)
6. Utilizes interesting and appropriate teaching strategies and integrates
necessary values applicable to nursing situation to enhance the student’s
appreciation of the nursing profession.
7. Supervises student’s activities.
8. Adjusts his/her method of instruction to the student’s individual
learning abilities.
9. Shows mastery of the nursing skills required in the specific clinical
setting (communication, skills, and other nursing techniques, approach)
10. Conducts pre and post conference and evaluation of student’s
activities inside the ward.
TOTAL

C. ATTITUDE 5 4 3 2 1
1. Comes and leaves the clinical area on time. Maximizes duty hours
through wise use of time.
2. Properly attired and well groomed for clinical setting.
3. Observes utilization of appropriate and varied teaching strategies in the
clinical area.
4. Handles concerns in the area with utmost objectivity, and
professionalism.
5. Gives praises and approval to develop enthusiasm among students to
work and perform well.
6. Provides criticism in an objective and constructive manner.
7. Maintains integrity and honesty at all times.
8. Shows a great deal of responsibility and caring attitude at work.
9. Makes self available to students for consultation and assistance.
10. Comes to clinical area well prepared.
TOTAL

Date: ____________________________

Signature:________________________